Week 3 Flashcards

1
Q

what are the functions of the cardiovascular system?

A

transports oxygen, hormones, and nutrients to cells
removed CO2 and waste from the body
regulates body temp. (vasodilation/constriction)

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2
Q

name the location and size of the heart

A

located in the thoracic cavity, under sternum, sits on diaphragm, flanked by lungs
base near the 2nd rib, apex points to left hip at above the 5th rib
size of a clenched fist

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3
Q

name the chambers, veins and arteries branching off the heart (and their functions)

A

right atrium- receives deoxygenated blood via vena cava
right ventricle- pumps blood to body via aorta
left atrium- receives oxygenated blood from lungs
left ventricle- pumps blood to body through aorta

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4
Q

name the valves within the heart

A

atrioventricular valves
- allows blood flow from atria to ventricles, prevents back flow
- right valve is tricuspid
- left valve is bicuspid

semilunar valves
- controls flow from ventricles to lungs/body
- pulmonary valve (right, leads to lungs)
- aortic valve (left, leads to body)

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5
Q

name any walls/support structures in the heart

A
  • chordae tendinae attach to papillary muscles to help secure AV valves during contractions
  • Heart is enclosed in fluid-filled pericardium sac, outer wall anchors to surroundings, inner wall (2 layers filled with fluid) facilitates frictionless heartbeats
  • epicardium (heart outer wall) is also inner layer of pericardial sac
  • myocardium (middle) 2/3 of heart’s muscle (pumps blood)
  • endocardium (inner) lines chambers, valves (frictionless blood flow)
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6
Q

describe the flow of blood through the cardiopulmonary system

A
  • deoxygenated blood enters from inferior and superior vena cava into the right atrium
  • tricuspid valve opens due to pressure, right ventricle fills passively (completed by atrial contraction)
  • right ventricle contracts, tricuspid valve closes, pulmonary valve opens
  • blood is oxygenated through capillaries in the lungs
  • oxygenated blood returns via pulmonary veins
  • mitral valve opens from pressure, left ventricle fills passively (completed by atrial contraction)
  • left ventricle contracts, mitral valve closes, aortic valve opens
  • oxygenated blood is distributed through the body
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7
Q

what is cardiac output and how would you calculate it?

A

volume of blood pumped per minute (heart rate x stroke volume)

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8
Q

what is diastole and systole?

A

diastole (relaxation of ventricles)- chambers fill with blood
systole (contraction of ventricles)- chambers pump blood out

when ventricles are contracted, atria are relaxed

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9
Q

how does blood flow from the arteries to the veins?

A
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10
Q

what is the mechanism of internal control of heart rate?

A

pacemaker sinoatrial (SA) node
- located in right atrium (near superior vena cava)
- generates electrical impulses that instruct a steady rhythm (60-100 bpm default)

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11
Q

what are the two mechanisms of external control of heart rate?

A

cardiac centre
- receives input from autonomic nervous system
- adjusts heart rate, contraction strength, stroke volume
- baroreceptors monitor blood pressure (sympathetic nervous system increases heart rate during stress/exercise, parasympathetic nervous system slows heart rate during rest)

endocrine system
- influenced by emotions, physical activity (e.g. fight-or-flight)
- sympathetic NS releases noradrenaline -> increases heart rate
- parasympathetic NS releases acetylcholine -> relaxes heart

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12
Q

what are the three factors that control stroke volume?

A

preload
- extent to which ventricle muscles are stretched during diastole (filling)

contractility
- ability to contract (influenced by preload)
- higher preload -> stronger contractions -> more stroke volume

afterload
- resistance on ventricles (aortic pressure) against ejecting blood
- higher after load -> reduces stroke volume

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13
Q

explain the conduction system of the heart

A

nodal tissue and conduction fibres transmits electrical impulses that tell ventricles when to contract (regulates heart rate)
- sinoatrial (SA) node: initiates impulse (sends to left atrium, atrioventricular node)
- AV node delays impulse (0.1 sec)
- bundle of His (in ventricular septum) divides signal into left/right bundle branches to reach millions of purkinjie fibres in ventricles (triggers them to contract)

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14
Q

what is the electrocardiogram (ECG) and its three waves?

A

graphical representation of the heart’s electrical activity
P wave- indicates activation of sinoatrial node and contraction of atria
QRS wave- indicates impulse reaching purkinjie fibres leading to ventricular contraction
T wave- indicates ventricular relaxation and chamber filling

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15
Q

what are the three layers in blood vessel walls?

A

tunica intima
- smooth frictionless surface
- squamous epithelial cells

tunica media
- smooth muscle, controls vasodilation/constriction
- elastic fibres/collagen
- influences blood pressure

tunica externa
- fibrous tissue, adds support

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16
Q

what are the different types of blood vessels and the differences between them?

A

arteries (arterioles), veins (venules), capillaries

  • arteries have thick, strong walls to carry blood away from the heart (high pressure)
  • veins have more elastic walls to carry blood toward the heart
  • one-way valves in veins assist return, as well as skeletal muscles and respiratory system
  • capillaries are the body’s smallest vessels and bridge arterioles and venules (forms capillary beds)
  • capillaries are a site for O2/CO2 exchange, red blood cells pass in single file
  • capillaries do not have 3 layers in their walls but sometimes possess pores for passage of hormones and white blood cells (for immune responses)
17
Q

how does the heart receive its oxygen (cardiac circulation)?

A

left/right coronary arteries on its surface
- starts at base of aorta, fills when ventricles are relaxed, closes during contraction (high pressure)
- blood is directed into cardiac veins -> coronary sinus on posterior wall of right atrium